| NPI | 1851418099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDALIA MALDONADO Receptionist 215-276-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |